Tyagi Sanjay, Rangasetty UmaMahesh C, Kaul Upkar A
Department of Cardiology, GB Pant Hospital and Maulana Azad Medical College, New Delhi.
Indian Heart J. 2003 May-Jun;55(3):262-4.
Atheromatous obstructive lesions of the arch vessels that contain thrombi are at high risk for distal embolization during angioplasty. This can lead to catastrophic neurological complications. We report a case of acute-on-chronic ischemia of the left upper limb due to thrombus-containing subclavian artery stenosis. After placement of an intravascular filter device, angioplasty and stent implantation successfully relieved the stenosis without any complications.
含有血栓的主动脉弓血管粥样硬化阻塞性病变在血管成形术期间发生远端栓塞的风险很高。这可能导致灾难性的神经并发症。我们报告一例因含血栓的锁骨下动脉狭窄导致左上肢急性慢性缺血的病例。在放置血管内滤器装置后,血管成形术和支架植入成功缓解了狭窄,且未出现任何并发症。